Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs

by AACVPR

• ISBN13: 9780736048644
• ISBN10: 0736048642
• Edition: 4th
• Format: Paperback
• Copyright: 2003-08-12
• Publisher: Human Kinetics

Summary

Keeping pace with rapid changes in the field, the fourth edition of >Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs> has been completely revised, including a new chapter on nutrition and plant-based diets as a treatment option in cardiac rehabilitation. This definitive book provides the most current models for designing and updating rehabilitation programs for patients and preventing a second episode. You'll find the latest information on changes in lifestyle behaviors and reduction of risk factors for disease progression and necessary information for softening the impact of cardiovascular disease on quality of life, morbidity, and mortality.>Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs>, Fourth Edition, addresses the cost effectiveness of interventions that educate and motivate patients to assume personal responsibility for long-term disease prevention. There's a new model for managing the disease through education, risk factor intervention, exercise, and symptom recognition, plus a management model that covers related chronic diseases including diabetes, asthma, osteoporosis, and cancer.Special features of the text include the following:- Chapter objectives to help readers quickly assess the topics covered and identify the most important points- Boxed guidelines in each chapter covering current issues and providing hints and methods to implement treatment programs and help patients stay on track- 24 appendixes with questionnaires, charts, consent forms, protocols, records, checklists, and logs you can use when creating or assessing programs>Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs>, Fourth Edition, was developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and parallels federal guidelines for cardiac rehabilitation programs. This book is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.

Table of Contents

Contributors	v
Preface	vii
The Integration of Cardiac Rehabilitation and Secondary Prevention	1	(4)
National Perspective	2	(1)
Global Perspective	3	(1)
Challenges and Opportunities	4	(1)
Summary	4	(1)
The Cardiac Rehabilitation Continuum of Care	5	(16)
Contemporary Cardiac Rehabilitation: Secondary Prevention	7	(4)
The Future of Cardiac Rehabilitation and Secondary Prevention	11	(9)
Summary	20	(1)
The Emergence of Nutrition and Plant-Based Diets in the Treatment and Prevention of Cardiovascular Disease	21	(10)
Plant-Based Diets and Phytochemicals	22	(1)
Epidemiological Evidence for Benefits of Plant-Based Diets	23	(1)
Clinical Trial Evidence for Benefits of Plant-Based Diets	23	(1)
Paradigm Shift: From Avoidance to Inclusion	24	(1)
Dietary Supplements and Herbal Medicines	24	(4)
Soy-Derived Isoflavone Phytoestrogens	28	(1)
Practical Suggestions	29	(1)
Summary	29	(2)
Cardiac Rehabilitation in the Inpatient and Transitional Settings	31	(22)
Early Assessment, Mobilization, and Risk-Factor Management	32	(10)
Discharge Planning	42	(1)
Implementation Strategies	43	(1)
Clinical Pathways	43	(2)
Staffing	45	(2)
Space and Equipment	47	(1)
Transitional Programming	47	(3)
Summary	50	(3)
Outpatient Cardiac Rehabilitation and Secondary Prevention	53	(16)
Structure of Secondary Prevention	54	(2)
Assessment of Risk Factors for Disease Progression	56	(5)
Stratification of Risk for Events During Exercise	61	(3)
Medical Supervision and Electrocardiogram Monitoring of Patients During Exercise	64	(2)
Implementation of Secondary Prevention	66	(1)
Summary	67	(2)
Medical Evaluation and Exercise Testing	69	(16)
Physical Examination	70	(2)
Risk Stratification and Identification of Contraindications for Exercise Training	72	(1)
Exercise Testing	72	(11)
Alternative Opportunities for Evaluating Physical Activity Status	83	(1)
Summary	84	(1)
Education and Behavior Modification for Risk-Factor Management	85	(10)
Basic Counseling Skills	87	(1)
Principles of Adult Learning	88	(1)
Principles of Behavior Modification	88	(2)
Social Learning Theory	90	(1)
Readiness-for-Change Theory	91	(2)
Inpatient Interventions	93	(1)
Outpatient Interventions	93	(1)
Selecting and Developing Educational Materials	93	(1)
Summary	94	(1)
Modifiable Cardiovascular Disease Risk Factors	95	(40)
Smoking	96	(5)
Abnormal Lipids	101	(9)
Hypertension	110	(3)
Physical Inactivity	113	(10)
Psychosocial Concerns	123	(6)
Obesity	129	(4)
Emerging Risk Factors	133	(1)
Summary	134	(1)
Special Considerations	135	(42)
Older Patients	137	(3)
Young Adults	140	(1)
Women	140	(2)
Racial and Cultural Diversity	142	(4)
Revascularization and Valve Surgery	146	(4)
Ventricular Arrhythmias, Pacemakers, and ICDs	150	(1)
Heart Failure	151	(6)
Patients With Left Ventricular Assist Devices	157	(2)
Cardiac Transplantation	159	(6)
Diabetes	165	(4)
Pulmonary Disease	169	(3)
Peripheral Arterial Disease	172	(3)
Summary	175	(2)
Administrative Considerations	177	(20)
Administrative Structure	178	(6)
Outcome Assessment	184	(4)
Information Management	188	(3)
Insurance and Reimbursement	191	(2)
Human Resources	193	(3)
Continuum of Care and Services	196	(1)
Summary	196	(1)
Management of Medical Problems and Emergencies	197	(10)
Potential Risks in Outpatient Cardiac Rehabilitation	198	(1)
Advanced Directives	198	(1)
Patient Assessment and Screening	198	(3)
Documentation of Emergencies	201	(1)
Emergency Equipment	201	(1)
Staff Training and Site Preparation	201	(3)
Transtelephonic ECG Monitoring	204	(1)
Home Health	204	(1)
Community-Site Programming	205	(1)
Summary	205	(2)
Appendices	207	(40)
References	247	(19)
Index	266	(11)
About the AACVPR	277